Laparoscopic liver resection: Current role and limitations.

摘要: Laparoscopic liver resection (LLR) for the treatment of benign and malignant lesions is often performed at specialized centers. Technological advances, such as laparoscopic ultrasonography electrosurgical tools, have afforded surgeons simultaneous improvements in surgical technique. The utilization minimally invasive techniques has been reported to reduce operative time, decrease blood loss, shorten length hospital stay with equivalent postoperative mortality morbidity rates compared open (OLR). Non-anatomic left lateral sectionectomy are now routinely laparoscopically many institutions. Furthermore, major hepatic resections by pure laparoscopy, hand-assisted technique, hybrid method. In addition, robotic surgery single port revealing early promising results. consensus recommendation disease remains unchanged when considering a approach, except comorbidities anatomic limitations lesion preclude this Disease free survival after LLR hepatocellular carcinoma metastatic colon cancer correspond OLR. Patient selection significant factor these favorable outcomes. include superior posterior lesions; however, adjustments technique may consider approach viable option. As growing data continue reveal feasibility efficacy surgery, skill increasingly being adopted hepatobiliary surgeons. Although full scope infrequently used general surgeons, will become standard diseases studies show